Inequalities in referral pathways for young people accessing secondary mental health services in south east London.
Differences in health service use between ethnic groups have been well documented, but little research has been conducted on inequalities in access to mental health services among young people. This study examines inequalities in pathways into care by ethnicity and migration status in 12–29 years ol...
| Published in: | European Child & Adolescent Psychiatry Vol. 30; no. 7; pp. 1113 - 1129 |
|---|---|
| Main Authors: | , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Nature
Jul2021
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151507160&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151507160 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Jul2021 vid: 30 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 151507160 144609741 151507160 151507160 10.1007/s00787-020-01603-7 151507160 ppf: 1113 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Inequalities in referral pathways for young people accessing secondary mental health services in south east London. aug: au: Chui, Zoe Gazard, Billy MacCrimmon, Shirlee Harwood, Hannah Downs, Johnny Bakolis, Ioannis Polling, Catherine Rhead, Rebecca Hatch, Stephani L. affil: Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK sug: subj: Mental Health Services Healthcare Disparities Referral and Consultation Human ab: Differences in health service use between ethnic groups have been well documented, but little research has been conducted on inequalities in access to mental health services among young people. This study examines inequalities in pathways into care by ethnicity and migration status in 12–29 years old accessing health services in south east London. This study analyses anonymized electronic patient record data for patients aged 12–29 referred to a south east London mental health trust between 2008 and 2016 for an anxiety or non-psychotic depressive disorder (n = 18,931). Multinomial regression was used to examine associations between ethnicity, migration status, and both referral source and destination, stratified by age group. Young people in the Black African ethnic group were more likely to be referred from secondary health or social/criminal justice services compared to those in the White British ethnic group; the effect was most pronounced for those aged 16–17 years. Young people in the Black African ethnic group were also significantly more likely to be referred to inpatient and emergency services compared to those in the White British ethnic group. Black individuals living in south east London, particularly those who identify as Black African, are referred to mental health services via more adverse pathways than White individuals. Our findings suggest that inequalities in referral destination may be perpetuated by inequalities generated at the point of access. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|